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<bill bill-stage="Introduced-in-House" dms-id="H085005C66CFE4D5D838A75CCC15937DD" public-private="public" key="H" bill-type="olc">
<metadata xmlns:dc="http://purl.org/dc/elements/1.1/">
<dublinCore>
<dc:title>118 HR 5924 IH: Lower Drug Costs Today Act</dc:title>
<dc:publisher>U.S. House of Representatives</dc:publisher>
<dc:date>2023-10-25</dc:date>
<dc:format>text/xml</dc:format>
<dc:language>EN</dc:language>
<dc:rights>Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.</dc:rights>
</dublinCore>
</metadata>
<form>
<distribution-code display="yes">I</distribution-code>
<congress display="yes">118th CONGRESS</congress><session display="yes">1st Session</session>
<legis-num display="yes">H. R. 5924</legis-num>
<current-chamber>IN THE HOUSE OF REPRESENTATIVES</current-chamber>
<action display="yes">
<action-date date="20231011">October 11, 2023</action-date>
<action-desc><sponsor name-id="M001223">Mr. Magaziner</sponsor> introduced the following bill</action-desc>
</action>
<action display="yes">
<action-date date="20231025">October 25, 2023</action-date>
<action-desc>Referred to the <committee-name committee-id="HIF00">Committee on Energy and Commerce</committee-name>, and in addition to the <committee-name committee-id="HWM00">Committee on Ways and Means</committee-name>, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned</action-desc>
</action>
<legis-type>A BILL</legis-type>
<official-title display="yes">To amend title XVIII of the Social Security Act with respect to the timing of changes to the annual out-of-pocket threshold for the Medicare prescription drug benefit, and to amend title XI of such Act with respect to the timing of the Medicare drug price negotiation program.</official-title>
</form>
<legis-body id="H1D3A6AC86EBE42E3BFD0669A15009E3F" style="OLC"> 
<section id="H0D2F217E5F434FCF8471F45FF4B90F59" section-type="section-one"><enum>1.</enum><header>Short title</header><text display-inline="no-display-inline">This Act may be cited as the <quote><short-title>Lower Drug Costs Today Act</short-title></quote>.</text></section> <section id="H728551DD6FAB41A5BA2FFE7811770AA4"><enum>2.</enum><header>Timing of changes to annual out-of-pocket threshold for Medicare prescription drug benefit</header> <subsection id="HC5EEA4DB7C0A41EDB1C42F1BB0006A4C"><enum>(a)</enum><header>In general</header><text>Section 1860D–2(b)(4)(B)(i) of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1395w-102">42 U.S.C. 1395w–102(b)(4)(B)(i)</external-xref>) is amended—</text> 
<paragraph id="H6E70B21D3F9E4F67AD61E0A8752EFD49"><enum>(1)</enum><text>in subclause (VI), by striking <quote>2024</quote> and inserting <quote>2023</quote>; and</text></paragraph> <paragraph id="H44BF4130AD324B41AF28A65F32C3801C"><enum>(2)</enum><text>in subclause (VII), by striking <quote>2025</quote> and inserting <quote>2024</quote>.</text></paragraph></subsection> 
<subsection id="H54971F63ACD446B59E8034E28285ED01"><enum>(b)</enum><header>Conforming amendments</header> 
<paragraph id="H73CAC6827EA84A6DBD74A2118278AC92"><enum>(1)</enum><text display-inline="yes-display-inline">Section 1860D–2 of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1395w-102">42 U.S.C. 1395w–102</external-xref>) is amended—</text> <subparagraph id="HE7D69724F876413391134713808CAAF7"><enum>(A)</enum><text>in subsection (a)(2)(A)(i)(I), by striking <quote>2025</quote> and inserting <quote>2024</quote>;</text></subparagraph> 
<subparagraph id="HE44E129A3D764E449BDCA303F2D828DD"><enum>(B)</enum><text display-inline="yes-display-inline">in subsection (b)—</text> <clause id="HDCB1D3F23094442F84648E7689DFB1D0"><enum>(i)</enum><text>in paragraph (2)—</text> 
<subclause id="H34895E06215F4E3EA552B6A90CB425DA"><enum>(I)</enum><text>in subparagraph (A), by striking <quote>2025</quote> each place it appears and inserting <quote>2024</quote>;</text></subclause> <subclause id="H8E97C31F33F14A18A89EABA99204A6C2"><enum>(II)</enum><text>in subparagraph (C)—</text> 
<item id="H7118E66AC8234C94A8446DE3921457D3"><enum>(aa)</enum><text>in clause (i), by striking <quote>2025</quote> and inserting <quote>2024</quote>; and</text></item> <item id="HE3C1B72B3AF04A458E4752A7E7F4E7FB"><enum>(bb)</enum><text>in clause (ii)(III), by striking <quote>2024</quote> and inserting <quote>2023</quote>;</text></item></subclause> 
<subclause id="HED1F330952F04C9780DB96907DE7A646"><enum>(III)</enum><text>in subparagraph (D)—</text> <item id="H225902862EB2445F88D60759BC6B29DC"><enum>(aa)</enum><text>in clause (i)—</text> 
<subitem id="H01DAD6C234C348E0AAA1590C05BE3D99"><enum>(AA)</enum><text>in the matter preceding subclause (I), by striking <quote>2025</quote> and inserting <quote>2024</quote>; and</text></subitem> <subitem id="H6BE4FABF3E6C4C8499C0C66A15F65B18"><enum>(BB)</enum><text>in subclause (I)(bb), by striking <quote>2024</quote> and inserting <quote>2023</quote>; and</text></subitem></item> 
<item id="H589C8BD4D7F6461484EF90EE6652F7D2"><enum>(bb)</enum><text>in clause (ii)(V), by striking <quote>2024</quote> and inserting <quote>2023</quote>; and</text></item></subclause> <subclause id="H6938624F96114B21B4C399981A9A3C16"><enum>(IV)</enum><text>in subparagraph (E)(i), by striking <quote>2025</quote> and inserting <quote>2024</quote>; </text></subclause></clause> 
<clause id="H505B6C230CAF4FC1BCA96C9E96A8AB85"><enum>(ii)</enum><text>in paragraph (3)(A)—</text> <subclause id="H912119E70B1C4C0B8C393D9D7913A83B"><enum>(I)</enum><text>in the matter preceding clause (i), by striking <quote>2025</quote> and inserting <quote>2024</quote>; and</text></subclause> 
<subclause id="HEAF7511E3C774F5585C13ACFC5C4BA0B"><enum>(II)</enum><text>in clause (ii), by striking <quote>2024</quote> and inserting <quote>2023</quote>; and</text></subclause></clause> <clause id="HD72316E3D55E403B996A22971B4F39C8"><enum>(iii)</enum><text>in paragraph (4)—</text> 
<subclause id="HAA87D7E839524361998E1BD0406C834E"><enum>(I)</enum><text>in subparagraph (C)—</text> <item id="HD06190DDFB024FB7B891B7E237903305"><enum>(aa)</enum><text>in clause (i), by striking <quote>2025</quote> and inserting <quote>2024</quote>; and</text></item> 
<item id="H65BF6B8ABDB6473183038AB87EB45ABA"><enum>(bb)</enum><text>in clause (iii)(II), by striking <quote>2025</quote> and inserting <quote>2024</quote>; and</text></item></subclause> <subclause id="H9FA93E63F0244BCFB158326E81646F11"><enum>(II)</enum><text>in subparagraph (E), by striking <quote>2024</quote> and inserting <quote>2023</quote>;</text></subclause></clause></subparagraph> 
<subparagraph id="HE60D8EB4A1624EC5A487FAA427B10A8E"><enum>(C)</enum><text>in subsection (c)(1)(C)—</text> <clause id="HEF834DCD34BA4352B98B5A8D8EDFE93D"><enum>(i)</enum><text>in the matter preceding clause (i), by striking <quote>2025</quote> each place it appears and inserting <quote>2024</quote>; and</text></clause> 
<clause id="HEA940D5FBAA3461D948B69549C354ED4"><enum>(ii)</enum><text>in clause (i), by striking <quote>2025</quote> each place it appears and inserting <quote>2024</quote>; and</text></clause> </subparagraph> <subparagraph id="H63DB3B0C884949A58E03E7369F5A6F5A"><enum>(D)</enum><text>in subsection (d)(1)(A), by striking <quote>2025</quote> and inserting <quote>2024</quote>.</text></subparagraph></paragraph> 
<paragraph id="HD68CF8D3F8CD474FB5380A82E0813B3D"><enum>(2)</enum><text display-inline="yes-display-inline">Section 1860D–4(a)(4)(B)(i) of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1395w-104">42 U.S.C. 1395w–104(a)(4)(B)(i)</external-xref>) is amended by striking <quote>2025</quote> and inserting <quote>2024</quote>.</text></paragraph> <paragraph id="H41C5F8FA04A643A0AF1BEB59A30F3774"><enum>(3)</enum><text display-inline="yes-display-inline">Section 1860D–14(a)(1)(C) of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1395w-114">42 U.S.C. 1395w–114(a)(1)(C)</external-xref>) is amended by striking <quote>2025</quote> and inserting <quote>2024</quote>.</text></paragraph> 
<paragraph id="H2E3A9EC79DA848CC969E651EB28A05CE"><enum>(4)</enum><text display-inline="yes-display-inline">Section 1860D–15(b) of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1395w-115">42 U.S.C. 1395w–115(b)</external-xref>) is amended—</text> <subparagraph id="HEE99E4E70D65446FA0EF0DEAC304847D"><enum>(A)</enum><text>in paragraph (1)—</text> 
<clause id="HE7CD8A6654D148C2B7CC0D57FA7DA4EB"><enum>(i)</enum><text>in subparagraph (A), by striking <quote>2025</quote> and inserting <quote>2024</quote>; and</text></clause> <clause id="HC902CA8AF42644D58DD4CB659BFA2CBD"><enum>(ii)</enum><text>in subparagraph (B), in the matter preceding clause (i), by striking <quote>2025</quote> and inserting <quote>2024</quote>; and</text></clause></subparagraph> 
<subparagraph id="HC6D15AF2F20147EC9142242CCC2F1894"><enum>(B)</enum><text>in paragraph (3), by striking <quote>2025</quote> and inserting <quote>2024</quote>.</text></subparagraph> </paragraph> <paragraph id="H91512D60985A4D7995DF557A8FE8989A"><enum>(5)</enum><text display-inline="yes-display-inline">Section 1860D–22(a)(2)(A) of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1395w-132">42 U.S.C. 1395w–132(a)(2)(A)</external-xref>) is amended—</text> 
<subparagraph id="HA3E0F8E6DC8D4271815FC2DE20DC5E88"><enum>(A)</enum><text>in clause (i), by striking <quote>2025</quote> and inserting <quote>2024</quote>; and</text></subparagraph> <subparagraph id="H021F1FBAA50249A4834760B1A683D4A8"><enum>(B)</enum><text>in clause (ii), by striking <quote>2025</quote> and inserting <quote>2024</quote>.</text></subparagraph></paragraph> 
<paragraph id="H5727118FCDCE48D38B8870E261FD6F2D"><enum>(6)</enum><text display-inline="yes-display-inline">Section 1860D–41(a)(6) of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1395w-151">42 U.S.C. 1395w–151(a)(6)</external-xref>) is amended by striking <quote>2025</quote> and inserting <quote>2024</quote>. </text> </paragraph> </subsection> </section> <section id="H7F9C3FC3839545DEB4D7631422590F21"><enum>3.</enum><header>Timing of Medicare drug price negotiation program</header> <subsection id="H198A9118B90F473A804B55F5DDB01DFD"><enum>(a)</enum><header>In general</header><text>Part E of title XI of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1320f">42 U.S.C. 1320f et seq.</external-xref>) is amended—</text> 
<paragraph id="H35A846B3A173452D9E1B6530AEF57B20"><enum>(1)</enum><text>in section 1191—</text> <subparagraph id="HA49F618424D74E12B6EE6B6D9B44C22C"><enum>(A)</enum><text>in subsection (b)(1), by striking <quote>2026</quote> and inserting <quote>2024</quote>; and</text></subparagraph> 
<subparagraph id="H06CA6A8D0333462598743EAFF7834D9C"><enum>(B)</enum><text>in subsection (d)—</text> <clause id="HB4BB6B31A1C14287A16B4972C74181D4" commented="no"><enum>(i)</enum><text>in the subsection heading, by striking <quote>2026</quote> and inserting <quote>2024</quote>; and</text></clause> 
<clause id="HBCDB21C05B8D45C49E5649D6B5B9B246"><enum>(ii)</enum><text>in the matter preceding paragraph (1), by striking <quote>2026</quote> and inserting <quote>2024</quote>;</text></clause></subparagraph></paragraph> <paragraph id="H10173A45831E4C49AD22811833A43CB0"><enum>(2)</enum><text>in section 1192—</text> 
<subparagraph id="H6FDBA6A9E3D541B0AAB2DE0DEBA041BF"><enum>(A)</enum><text>in subsection (a)—</text> <clause id="H9FBFF1C2FEE441C8A0B5423632798CB0"><enum>(i)</enum><text>in paragraph (1), by striking <quote>2026</quote> and inserting <quote>2024</quote>;</text></clause> 
<clause id="H0FB70668140B4B94AEDAD136919F9635"><enum>(ii)</enum><text>in paragraph (2), by striking <quote>2027</quote> and inserting <quote>2025</quote>;</text></clause> <clause id="H60EB5715E1C74948A4E934D0F792F9B3"><enum>(iii)</enum><text>in paragraph (3), by striking <quote>2028</quote> and inserting <quote>2026</quote>; and</text></clause> 
<clause id="HDB307AC32BD04626BD2714C86781CF96"><enum>(iv)</enum><text>in paragraph (4), by striking <quote>2029</quote> and inserting <quote>2027</quote>;</text></clause></subparagraph> <subparagraph id="HE0DA14FF797549168FFEF96D88288DBC"><enum>(B)</enum><text>in subsection (b)(2)—</text> 
<clause id="HC541947F02EB4A579D187E5D5124BB0B" commented="no"><enum>(i)</enum><text display-inline="yes-display-inline">in the paragraph heading, by striking <quote>2026 and 2027</quote> and inserting <quote>2024 and 2025</quote>;</text></clause> <clause id="H341D7156059A48E3B2C23CE2681265AA"><enum>(ii)</enum><text>by striking <quote>2026</quote> and inserting <quote>2024</quote>; and</text></clause> 
<clause id="H92255B1F348440A68135F708D7C10290"><enum>(iii)</enum><text>by striking <quote>2027</quote> and inserting <quote>2025</quote>;</text></clause></subparagraph> <subparagraph id="HD4656C3D538D43C99949B220C620C2E4"><enum>(C)</enum><text>in subsection (d)—</text> 
<clause id="HD451745BCC4F4D608B402C6E3B812B24"><enum>(i)</enum><text>in paragraph (1), by striking <quote>2026 or 2027</quote> and inserting <quote>2024 or 2025</quote>;</text></clause> <clause id="H3310F27F564B491F9E5E55A7E11E44F2"><enum>(ii)</enum><text>in paragraph (2)(A), by striking <quote>2026, 2027, and 2028</quote> and inserting <quote>2024, 2025, and 2026</quote>; and</text></clause> 
<clause id="HFED653CD24DB45A7AB04F3E606F7FB1A"><enum>(iii)</enum><text>in paragraph (3)(A)(ii), by striking <quote>2026, 2027, and 2028</quote> and inserting <quote>2024, 2025, and 2026</quote>; and</text></clause></subparagraph> <subparagraph id="HC9D3BF7414DC4395BB7C3AB1E84BB782"><enum>(D)</enum><text>in subsection (e)(3)(B)—</text> 
<clause id="HB9E151D292AA4DB0B2F258939EF762DB"><enum>(i)</enum><text>in clause (i), by striking <quote>2026</quote> and inserting <quote>2024</quote>; and</text></clause> <clause id="H08351644BAC14B29A31D972BC3F095F6"><enum>(ii)</enum><text>in clause (ii), by striking <quote>2027</quote> and inserting <quote>2025</quote>; and</text></clause></subparagraph> </paragraph> 
<paragraph id="HDC46420A157F462DA1136F8DA5E39EDB"><enum>(3)</enum><text>in section 1194—</text> <subparagraph id="H8F4ED6B4A0B24C039CCAA3C3728E26D6"><enum>(A)</enum><text>in subsection (c)(1)(C)—</text> 
<clause id="H3BC98FF095ED4B69A535F41D89D5CFB3"><enum>(i)</enum><text>in clause (i)—</text> <subclause id="HC408739DAA224FD08C15A3D1B3D9A940" commented="no"><enum>(I)</enum><text>in the clause heading, by striking <quote>2026</quote> and inserting <quote>2024</quote>; and</text></subclause> 
<subclause id="H906AFCF76A854E66BF37880449E8C072"><enum>(II)</enum><text>by striking <quote>2026</quote> and inserting <quote>2024</quote>; and</text></subclause></clause> <clause id="HE06B41FA37ED44D899F719E71A63A43A"><enum>(ii)</enum><text>in clause (ii)—</text> 
<subclause id="H196145A1C25A46A4801F63C684CB70F3" commented="no"><enum>(I)</enum><text>in the clause heading, by striking <quote>2027</quote> and inserting <quote>2025</quote>; and</text></subclause> <subclause id="H49D6984DE96F4DD1AF3CE5992F8D88A8"><enum>(II)</enum><text>in the matter preceding subclause (I), by striking <quote>2027</quote> and inserting <quote>2025</quote>;</text></subclause></clause></subparagraph> 
<subparagraph id="H3FF59FDB7926401484FA04A751E0FB63"><enum>(B)</enum><text>in subsection (d), by striking <quote>2029 or 2030</quote> and inserting <quote>2027 or 2028</quote>; and</text></subparagraph> <subparagraph id="H11B8524FF9164C68A38BA422D257D7EA"><enum>(C)</enum><text>in subsection (f)(3), by striking <quote>2028</quote> and inserting <quote>2026</quote>.</text></subparagraph></paragraph></subsection> 
<subsection id="H4A73F168DA41423D94A1E6FC27A95487"><enum>(b)</enum><header>Conforming amendment to part D</header><text>Section 1860D–4(b)(3)(I)(i) of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1395w-104">42 U.S.C. 1395w–104(b)(3)(I)(i)</external-xref>) is amended by striking <quote>2026</quote> and inserting <quote>2024</quote>.</text></subsection></section> </legis-body> </bill> 

